Colonic polyps detection Digestive System Polyp of colon
Conditions
Interventions
This is a back to back study to compare the Cap and Endocuff to detect polyps during colonoscopy. Each patient will undergo two consecutive colonoscopies by the same endoscopist in a randomised order
Sponsors
London North West Healthcare NHS Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Adults over the age of 18 years undergoing a colonoscopy
Exclusion criteria
Exclusion criteria: 1. Absolute contraindications to colonoscopy 2. Established or suspicion of large bowel obstruction or pseudo-obstruction 3. Known colon cancer or polyposis syndromes 4. Known colonic strictures 5. Known severe diverticular segment (that is likely to impede colonoscope passage) 6. Patients with active colitis (ulcerative colitis, Crohn’s colitis, diverticulitis, infective colitis) 7. Patients lacking capacity to give informed consent 8. Pregnancy 9. Patients who are on clopidogrel, warfarin, or other new generation anticoagulants/antiplatelets who have not stopped this for the procedure.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Caecal intubation time and withdrawal time, collected using case report form at baseline 2. Discomfort during the procedure, measured using standard scoring system used routinely in endoscopy units on a 5-point discomfort scale, collected at baseline 3. Removal rate of cap and Endocuff, collected using case report form at baseline | — |
Primary
| Measure | Time frame |
|---|---|
| 1. Polyp miss rate, calculated at the end of the study period 2. Adenoma miss rate, calculated at the end of the study period | — |
Countries
United Kingdom
Outcome results
None listed